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Oklahoma rates for HCPCS L3763

Elbow Wrist Hand Orthosis Rigid Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $364.93 / $901.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.41 / $364.93 / $433.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.79 / $675.79 / $675.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.53 / $488.53 / $488.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.63 / $620.42 / $697.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.26 / $478.46 / $3,743.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.84 / $406.46 / $829.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.84 / $359.77 / $549.24